Transconjunctival lower eyelid involutional entropion repair: Long-term follow-up and efficacy☆
Presented in part at the annual meeting of the American Academy of Ophthalmology, New Orleans, Louisiana, November 2001.
Received 23 October 2001; accepted 8 April 2002.
Abstract
Objective
To evaluate the safety and long-term efficacy of a modified transconjunctival involutional lower eyelid entropion repair.
Design
Retrospective, noncomparative case series and survey.
Participants
Eighty-nine consecutive patients with involutional entropion (114 eyelids).
Methods
Modified transconjunctival involutional lower eyelid entropion repair technique was performed on 114 eyelids of 89 consecutive patients over a 7-year period. All cases had a minimum of 3 months of initial office follow-up, with extended follow-up obtained via standardized telephone interviews.
Main outcome measures
Surgical success and entropion recurrence.
Results
Surgery was completed successfully with no complications in all 114 cases. All cases demonstrated correction of entropion at the 3-month office follow-up. Long-term follow-up (mean, 38.3 months; range, 4–85 months) was obtained in 75% of cases. Recurrence was noted in only one patient (two eyelids [2%]).
Conclusions
Modified transconjunctival lower eyelid entropion repair is a time-efficient, safe, and efficacious technique. In contrast to a recent report using another transconjunctival technique, we found a relatively low rate of recurrence on extended follow-up.
1The Lions Eye Institute, Department of Ophthalmology, Albany Medical College, Albany, New York, USA
Correspondence to Dale R. Meyer, MD, Lions Eye Institute, 35 Hackett Boulevard, Albany, NY 12008, USA.
☆ The authors have no financial or proprietary interest in any aspect of this study.
ABSTRACT